The University of Arizona

Arizona Center for Integrative Medicine

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Environmental Health: An Integrative Approach (2016-2018)

$180 All Learners
Free - Course Registration is waived


NPs, PAs, Nurses

Environmental health is based on the premise that what we eat or are exposed to in our environment has a direct effect upon our health. It examines the impact of air pollutants, pesticides, heavy metals, toxins and other environmental factors on the health of individuals and populations. From historical environmental events like lead poisoning in ancient Rome to the potential impact of phthalates in modern times, this course explores the interaction between the environment and human health, and its role in mediating disease.

Designed for medical and nursing personnel, in this Environmental Health course you will examine the importance of considering environmental factors in virtual patient cases; develop a working knowledge of the strengths and limitations of environmental health research; and understand why certain populations, such as children, are particularly vulnerable. After completing this course, you will be better prepared to give informed and insightful responses to patients' questions about the ever-evolving field of environmental health.

Learning Objectives

At the end of this course, participants will be able to:

  1. Appraise the emerging research links between environmental toxins and the documented rise of complex chronic illness; such as obesity, metabolic syndrome, cancers, neurodevelopmental disorders and reproductive health, and identify how an integrative medicine model may be applied in both prevention and treatment.
  2. Identify the primary categories of chemical toxins present in the environment, and interpret how their mechanism of actions may impact human health.
  3. Recognize and identify the range of toxins known to demonstrate endocrine disruptor activity in humans.
  4. Identify vulnerable patient populations in terms of environmental toxin exposures.
  5. Apply a structured approach to taking an environmental medicine history that includes consideration of potential toxins in air, land, and water.
  6. Acquire familiarity with consumer resources that can help individuals reduce unnecessary environmental toxin exposures, and recognize how cultural and socioeconomic status may influence their number of exposures and ability to limit exposure.
  7. Assess the impact of some of the emerging technologies and agricultural practices on environmental medicine and how they are affecting human health.
  8. Identify several resources for patients and clinicians interested in environmental advocacy.

Completion Requirements

Complete all the course work, course evaluation, and the final test with a score of 70% or better. Upon successful completion you will be able to print your certificate of completion.


  • Introduction to Environmental Health
  • Taking an Environmental Medicine History
  • From Environment to Exam Room
  • Air
  • Land
  • Water
  • Patient Waiting Room
  • Emerging Research
  • Wrap Up
  • Exam
  • Course Evaluation

Target Audience

This enduring material educational program is intended for physicians, nurse practitioners, nurses, physician assistants, psychologists, and psychiatrists in any specialty. In addition, all healthcare professionals who have an interest in an integrative approach to healing are targeted.


You will have a maximum of 90 days access to the material from the start date. If you register for the course and pay with a credit card you will have immediate access to the course. Once your registration is complete, logout and log back in and your course will be listed on the campus page. If you cannot remember your account information, click the Forgot Password link on the login page and it will be emailed to you.

Course Fees

All learners - $180.
The Center (AzCIM) is waiving the registration cost. Enrollment is free!

Environmental Health: An Integrative Approach
Disclosure & Education Credit Info


Faculty & Authors

The following faculty have disclosed that they have no financial interest, arrangement, or affiliation that would constitute a conflict of interest concerning this CME/CE activity. They have stated that their presentations do not include discussion of commercial products or devices or unlabeled/investigational drug use.

Joanne Perron, MD; CSUMB-BSN Lecturer Genomics
Hilary McClafferty, MD, FAAP; Interim Director of the Fellowship, Arizona Center for Integrative Medicine

The following faculty have these disclosures.

Andrew Weil, MD; Director, Arizona Center for Integrative Medicine; Founder and Chairman of the Board for Weil Foundation
Disclosure: Dr. Weil discloses the following relevant financial relationships:
Miraval Resort: Director of Integrative Health & Healing
University of New Mexico School of Medicine: Clinical Associate Professor, Dept. of Internal Medicine, Volunteer Faculty; Council on Complementary and Alternative Medicine: Chairman, Dubai Healthcare City United Arab Emirates
Consultant: California Walnut Commission, Fungi Perfecti
Stock: True Food/Good Food, LLC member
Weil Lifestyle, LLC member

Planning Committee
The following planning committee members state that they have no financial relationships with commercial interests whose products or services are discussed in this activity.

Victoria Maizes, MD, Professor of Medicine; Executive Director, Arizona Center for Integrative Medicine
Hilary McClafferty, MD, FAAP, Interim Director of the Fellowship, Arizona Center for Integrative Medicine
Molly Burke, MFA, BA, CMT, Director of Online Education, Arizona Center for Integrative Medicine
Priscilla Abercrombie, RN, NP, PhD, AHN-BC, PhD, Clinical Professor UCSF Departments of Family Health Care Nursing and Obstetrics, Gynecology and Reproductive Sciences

Off-label Use

Environmental Health: An Integrative Approach may contain discussion of unlabeled and/or investigational uses of agents not approved by the FDA.  Please consult the prescribing information for each product.

Commercial Support

There is no commercial support provided for this activity.

Conflict of Interest Resolution

CMEsolutions has resolved all conflicts of interest prior to this educational activity through the following procedures:

  • All potential conflicts have been discussed with the speakers and all have agreed to the Conflict of Interest policy
  • All presentations have been peer reviewed for conflict or bias
  • All planners and faculty have signed a disclosure statement indicating they will present information fairly and without bias

Planner Disclosures

No member of CMEsolutions has any relevant financial relationships to disclose relevant to this activity.

Credit Detail



This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of CMEsolutions and Arizona Center for Integrative Medicine.


CMEsolutions is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. CMEsolutions designates this live activity for a maximum of 6 AMA PRA Category 1 Credits.™ Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Approval Period January 8, 2016 to January 8, 2018


This continuing nursing education activity was approved by the Western Multi-State Division, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. Arizona, Colorado, Idaho, and Utah Nurses Associations are members of the Western Multi-State Division. ID# 6-16 for 6 contact hours.

Approval Period January 8, 2016 to January 8, 2018

Course delivery

All courses are online, in web-based format. Teaching strategies include interactive case scenarios, case studies, and quizzes. There may be some video included.
This course is estimated to take 6 hours to complete.


This course does not constitute medical advice. Healthcare providers should exercise their own independent medical judgment.
All case studies and patient scenarios in this course are used for illustrative purposes. All depictions of persons (other than faculty) are models not actual patients.

Privacy and Confidentiality Statement

AzCIM will not release names, email addresses, or personal identifying information to third parties.


All rights reserved - Arizona Board of Regents.